Long Term Care Compliance
This feature is activated by HHAeXchange System Administration. Contact HHAeXchange Support Team for details, setup, and guidance.
The Long Term Care Compliance option resides under the POC Duty Compliance field on the Scheduling/Confirmation tab of the Contract Setup under Admin > Contract Setup. When selected, this option allows Agencies to validate long-term care cases in the system via the Patient’s POC page.
In the Patient’s POC page under Patient > POC, a Minimum Required Duties field has been added to indicate the minimum number of required duties. On the POC grid, a Required column has been added to select which of the duties must be completed for each visit to satisfy the Long Term Care Compliance rule.
In addition, the POC page indicates that the Long Term Care Compliance rule has been assigned to the Patient Contract in green bold static text.
The Minimum Required Duties rule only applies to Contracts set with Long Term Care Compliance. The Required column and static green note only display on the Patient > POC page if a Long Term Care Compliance Contract is assigned to the Patient.
Visits that do not meet the Minimum Required Duties for Long Term Care Compliance Contracts are held at Prebilling with a POC Compliance problem.
If the Minimum Required Duties is lowered for example, from 3 to 1, then the system reprocesses any visits held at Prebilling and removes the POC Compliance problem according to the updated settings.
If increased for example, from 1 to 3, then the system reprocesses unbilled visits and holds them in Prebilling if the visits do not meet the updated requirements.
If a visit scheduled for a Long Term Care Compliance Contract is not assigned a POC, then it is held on Prebilling with a No POC Attached to Schedule problem until a POC is assigned to the visit.